Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $731.25 / $1,531.21 / $14,482.00	Facility		$731.25	$1,531.21	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,060.00 / $8,139.00 / $11,136.00	Facility		$5,060.00	$8,139.00	$11,136.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,462.54 / $3,462.54 / $3,462.54	Facility		$3,462.54	$3,462.54	$3,462.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,909.47 / $2,231.37 / $3,422.98	Facility		$1,909.47	$2,231.37	$3,422.98
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $731.25 / $1,088.85 / $1,616.06	Facility		$731.25	$1,088.85	$1,616.06
Medica Facility/Professional Facility Modifier Low / Median / High Price $731.25 / $1,506.81 / $11,598.00	Facility		$731.25	$1,506.81	$11,598.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $731.25 / $1,069.99 / $1,616.06	Facility		$731.25	$1,069.99	$1,616.06
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,463.15 / $1,782.79 / $2,661.36	Professional		$1,463.15	$1,782.79	$2,661.36
Quartz Facility/Professional Facility Modifier Low / Median / High Price $7,213.88 / $7,213.88 / $19,945.84	Facility		$7,213.88	$7,213.88	$19,945.84
United Facility/Professional Facility Modifier Low / Median / High Price $4,240.00 / $9,158.00 / $12,062.00	Facility		$4,240.00	$9,158.00	$12,062.00